Comparison of Endoscopic Unilateral Laminectomy for Bilateral Decompression (Endo‐<scp>ULBD</scp>) and Posterior Lumbar Interbody Fusion (<scp>PLIF</scp>) in Managing Multi‐Segmental Lumbar Spinal Stenosis: Technique and Early Outcomes
Endo-ULBD demonstrated superior early clinical outcomes compared to PLIF, including shorter operative time, reduced blood loss, faster recovery, and fewer complications. Both techniques provided similar improvements in dural sac decompression, but Endo-ULBD may offer a more efficient and minimally invasive treatment option for patients with MS-LSS. However, the high frequency of intraoperative fluoroscopy remains a limitation, highlighting the need for improved surgical techniques and positioning systems.
Authors
- Qingyu Yao (ORCID: https://orcid.org/0000-0002-9808-2504)
- Mengxuan Wang (ORCID: https://orcid.org/0009-0003-4224-3756)
- Yichen Jiang (ORCID: https://orcid.org/0000-0001-7443-1493)
- Guantong Sun (ORCID: https://orcid.org/0000-0002-1633-676X)
- Antao Lin (ORCID: https://orcid.org/0000-0003-3754-4397)
- Shengwei Meng (ORCID: https://orcid.org/0000-0002-3540-0747)
- Hao Zhang (ORCID: https://orcid.org/0000-0003-1974-1311)
- Wentao Liu (ORCID: https://orcid.org/0000-0002-2166-8259)
- Zengjie Wu
- Chuanli Zhou (ORCID: https://orcid.org/0000-0003-4141-0834)
- Sheng Chang (ORCID: https://orcid.org/0000-0003-4875-5501)
- Zirui Wang (ORCID: https://orcid.org/0009-0006-6976-9522)
- K. X. Su (ORCID: https://orcid.org/0009-0008-4380-0645)
- Mingzhi Liu
- Ge H
Institutions
- Qingdao University (CN)
- Affiliated Hospital of Qingdao University (CN)
Publication Details
- Journal
- Orthopaedic Surgery
- Published
- 2025-04-23
- DOI
- https://doi.org/10.1111/os.70013
- Citations
- 4
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 5.89
Funders
- National Natural Science Foundation of China
- Natural Science Foundation of Shandong Province